Provider Demographics
NPI:1265709281
Name:ERBEN, PAUL ALAN (DMD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ALAN
Last Name:ERBEN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:937 E MAIN ST STE 204
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5309
Mailing Address - Country:US
Mailing Address - Phone:805-349-2222
Mailing Address - Fax:
Practice Address - Street 1:937 E MAIN ST STE 204
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5309
Practice Address - Country:US
Practice Address - Phone:805-349-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-18
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1045931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics